CN103976780A - Passageway device for transvaginal laparoscope surgical operation - Google Patents
Passageway device for transvaginal laparoscope surgical operation Download PDFInfo
- Publication number
- CN103976780A CN103976780A CN201410247238.4A CN201410247238A CN103976780A CN 103976780 A CN103976780 A CN 103976780A CN 201410247238 A CN201410247238 A CN 201410247238A CN 103976780 A CN103976780 A CN 103976780A
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- Prior art keywords
- transvaginal
- supporter
- surgical operation
- base plate
- supporting body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B2017/3445—Cannulas used as instrument channel for multiple instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B2017/345—Cannulas for introduction into a natural body opening
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Pathology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a passageway device for a transvaginal laparoscope surgical operation. The passageway device comprises a base plate of a three-way single-port laparoscope surgical puncture outfit. The base plate comprises three operation passageways with different apertures, a gas inlet pipe and a gas outlet pipe, and further comprises a cylindrical supporting body made of semi-hard materials, wherein the cylindrical supporting body is fixedly connected with the bottom of the base plate. The three operation passageways, the gas inlet pipe and the gas outlet pipe are all communicated with the supporting body and protrude out of the base plate. Six side holes are designed in the periphery of the base plate and can allow suture needles to pass through. The inner portion of the supporting body is of a cavity structure, and the outer surface of the supporting body is in a threaded shape or a smooth shape. The surgical passageway device has enough rigidity for supporting the surrounding tissue, is effectively prevented from being too hard and damaging the surrounding viscera organs, and allows surgical instruments to conveniently get in or get out of surgical instruments especially instruments which can be bent in advance. The device can be designed into different lengths and diameters according to the heights of patients and the widths of the pelvises of the patients; due to the structure, the passageway device is more suitable for setting up a transvaginal laparoscope surgical operation passageway.
Description
Technical field
The invention belongs to field of surgical, relate in particular to a kind of for transvaginal laparoscopically surgical operation highway device.
Background technology
In clinical medicine, laparoscopic surgery is widely used in surgical clinical at present.Wherein, at Urological Field, main laparoscopic surgery approach comprises two kinds of modes at present, and one is through transabdominal, and another kind is retroperitoneal approach.Two kinds of modes respectively have pluses and minuses, and wherein retroperitoneal approach is because it is little to intestinal interference, and post-operative recovery is applied wider soon.
Meanwhile, along with the development of laparoscopic technique, a kind of new operative approach is suggested, through natural tract endoscopic surgery operation (natural orifice transluminal endoscopic surgery, NOTES).So-called refer to that through natural tract the hollow organ that has natural tract to communicate with the external world by esophagus, stomach, rectum, vagina, bladder etc. performs the operation.Up to now, studying more is transvaginal modus operandi.It should be noted that existing transvaginal modus operandi, mainly by through transabdominal, as previously mentioned, exists and disturbs intestinal through transabdominal, affect the shortcoming of post-operative recovery.Therefore research worker considers transvaginal approach and retroperitoneal approach to combine, object be not only to reach operation without scarring, reduce the interference to intestinal simultaneously.There are some researchs to carry out the work of this respect, research worker is noticed in these research, the multiplex soft sight glass of researcher is observed, but for most of hospitals, often do not possess such condition (soft sight glass is not extensively popularized), how to apply traditional laparoscopic instrument and operate, this is the direction of research worker research.
Meanwhile, in the research having launched in research worker, research worker is found the foundation of the surgical pathway often of puzzlement operation.Good surgical pathway should solve following problem.1. support operative approach; 2. facilitate entering of traditional laparoscopic instrument; 3. can not leak gas, thereby affect the foundation of pneumoperitoneum.
In the prior art, having a kind of surgical pathway equipment is the applied Triport of single-hole laparoscopic surgery (being triple channel single-hole laparoscopic puncture outfit), as shown in Figure 1, but the applied Triport of single-hole laparoscopic surgery is soft, be that operating walk way A and 2 5mm trocar operating walk way B and air inlet pipe C and escape pipe D are integrated into chassis E upper (separately referring to Fig. 2) by 1 10mm trocar, the bottom of chassis E is enclosed within one end of soft external member F, and the other end cover of soft external member F has a retainer ring G; Be positioned at soft external member F and be connected with drawstring H and draw ring I with the bottom of chassis E, in the time of concrete use, soft external member F stretches into intravaginal, and pulls draw ring I, and at this moment soft external member inflation forms a path, but such path support performance is very poor and affect apparatus and pass in and out.
Summary of the invention
The object of the present invention is to provide a kind of for transvaginal laparoscopically surgical operation highway device, to existing single-hole laparoscopic surgery, applied Triport improves, its flexible structure is changed into semi-hard material-structure part (has enough hardness to support surrounding tissue, avoid again the surrounding tissue damage that causes really up to the mark), the effective like this surgical pathway of having set up, in order to solve the problems of the technologies described above.
It is a kind of for transvaginal laparoscopically surgical operation highway device that the embodiment of the present invention provides, comprise that the chassis of triple channel single-hole laparoscopic puncture outfit, three operating walk ways that can be designed to different-diameter (comprise 5mm, 10mm, 12mm), an air inlet pipe and an escape pipe; Also comprise the supporter of the cylindrical semi-hard material being fixedly connected with the bottom on described chassis; Three described operating walk ways, air inlet pipe, escape pipes all with in described supporter communicate, and stretch out chassis and enter described supporter;
The inside of described supporter is cavity structure, and the outer surface of described supporter is helical form or smooth shape.
Preferably, described supporter is semi-hard material, comprises silica gel supporter or rubber body or PE plastic support.
Preferably, the sidewall on described chassis along the circumferential direction distributes and is provided with multiple side openings.
Preferably, the quantity of described side opening is 6.
Compared with prior art, the advantage of the embodiment of the present invention is:
Analyze above-mentioned known for transvaginal laparoscopically surgical operation highway device: supporter is selected semi-hard material-structure part, (there is enough hardness to support surrounding tissue for its supporting role, avoid the material surrounding tissue that causes really up to the mark to damage, facilitate the turnover of operation technique apparatus); The middle part of described supporter is provided with cavity, and the outer surface of described supporter is screw-like or smooth shape, and chassis periphery design side opening is convenient to sew up and is fixed on skin, and can prevent gas leakage.Can realize the path supporting role of laparoscopically surgical operation by said structure, semi-hard material cylindrical support body can be avoided really up to the mark and cause surrounding tissue damage, and can be designed to different length and diameter according to patient's height and pelvis width; Such structure is more adapted to the foundation of vagina laparoscopically surgical operation path.
Brief description of the drawings
The structural representation that Fig. 1 is the triple channel single-hole laparoscopic puncture outfit that provides in prior art;
Fig. 2 is the side-looking structural representation of the triple channel single-hole laparoscopic puncture outfit of the prior art of Fig. 1;
The structural representation for transvaginal laparoscopically surgical operation highway device that Fig. 3 provides for the embodiment of the present invention;
The perspective view for transvaginal laparoscopically surgical operation highway device that Fig. 4 provides for the embodiment of the present invention;
The supporter cross-sectional view for transvaginal laparoscopically surgical operation highway device that Fig. 5 provides for the embodiment of the present invention in Fig. 3.
Detailed description of the invention
Also by reference to the accompanying drawings the present invention is described in further detail below by specific embodiment.
(simultaneously referring to Fig. 4) as shown in Figure 3, it is a kind of for transvaginal laparoscopically surgical operation highway device that the embodiment of the present invention provides, comprise the chassis E of triple channel single-hole laparoscopic puncture outfit and three operating walk ways (1 10mm trocar is operating walk way A and 2 5mm trocar operating walk way B, can be designed to 5,10 according to surgery situation in addition, 12mm different-diameter) and air inlet pipe C and escape pipe D; (external part of air inlet pipe C and escape pipe D is provided with one by one sleeve cap corresponding and that be threaded, in figure with the structure division of anti-slip veins); Also comprise the supporter 10 of the cylindrical semi-hard material-structure being fixedly connected with the bottom of described chassis E; Three described operating walk ways, air inlet pipe C, escape pipe D all with in described supporter 10 communicate, and stretch out chassis E and enter described supporter;
The inside of described supporter 10 is cavity structure, and the outer surface of described supporter is screw-like or smooth shape (referring to Fig. 5).
Preferably, described supporter 10 is semi-hard material, for example silica gel supporter or rubber body or PE plastic support.
About the structural member of plastic support, it should be noted that: above-mentioned supporter should be selected semi-hard material, as silica gel supporter or rubber body or PE plastic support.Meet the sanitary standard of surgical instrument, such selection, except having certain strength advantage, also has softness, hydrolysis, the excellent feature of ageing resistance simultaneously.Supporter tissue and internal organs around when the intensity of this structure can one supports operation technique, the path that above-mentioned semi-hard supporter material can meet laparoscopically surgical operation supports requirement, and avoids the damage that causes tissue and internal organs really up to the mark.
Preferably, the sidewall of described chassis E along the circumferential direction distributes and is provided with multiple side openings 11.
The quantity of described side opening is 6.
It should be noted that, side opening is positioned at periphery place, chassis, is uniformly distributed, and each side opening all can be sewed up chassis to fix like this through chassis.Above-mentioned side opening is used for penetrating operation suture thread (in the middle of surgical operation, or in the middle of wound disposal, for the common silk thread of hemostasis by ligation, Suture hemostasis and tissue apposition), multiple side openings can be sewed up chassis to be fixed on patient skin after penetrating operation suture thread, play fixation to a certain extent, and can effectively prevent gas leakage.
It should be noted that, the size characteristic (diameter of length, outer diameter or the inner chamber of such as supporter etc.) of the supporter for transvaginal laparoscopically surgical operation highway device that the embodiment of the present invention provides all can such as, according to concrete patient's build (height, pelvis width etc.) and specific design.
Our technology emphasis has solved following several problems: one, supports operative approach; Its two, facilitate entering of apparatus; Its three, air tight, can successfully set up artificial pneumoperitoneum.Compare with traditional Triport, we improved semi-hard Triport successfully sets up surgical pathway.For completing after transvaginal peritoneum under path, utilize traditional laparoscopic technique to perform the operation and lay a good foundation.We study and also show, can show clearly and it should be noted that Retroperitoneal dissection, we have completed kidney surgery on animal model at present.
What below the embodiment of the present invention is provided does explanation for the concrete service condition of transvaginal laparoscopically surgical operation highway device:
In Wicresoft's endoscope-assistant surgery, be used as the passage of scope and apparatus.What the embodiment of the present invention provided has following main performance for transvaginal laparoscopically surgical operation highway device: have certain holding strength; Telescopic supporter is fixedly connected with chassis, and its sealing property is superior, can effectively avoid gas leakage; Channel-active degree is large, can carry out cutting operation at intraperitoneal better, and can realize aseptic result, protects from infection.
The foregoing is only the preferred embodiments of the present invention, be not limited to the present invention, for a person skilled in the art, the present invention can have various modifications and variations.Within the spirit and principles in the present invention all, any amendment of doing, be equal to replacement, improvement etc., within all should being included in protection scope of the present invention.
Claims (4)
1. for a transvaginal laparoscopically surgical operation highway device, it is characterized in that,
Comprise the chassis of triple channel single-hole laparoscopic puncture outfit, three operating walk ways, an air inlet pipe and an escape pipe; Also comprise the supporter of the cylindrical semi-hard material being fixedly connected with the bottom on described chassis; Three described operating walk ways, air inlet pipe, escape pipes all with in described supporter communicate, and stretch out chassis and enter described supporter;
The inside of described supporter is cavity structure, and the outer surface of described supporter is helical form or smooth shape.
2. as claimed in claim 1ly it is characterized in that for transvaginal laparoscopically surgical operation highway device,
Described supporter is semi-hard material, comprises silica gel supporter, rubber body or PE plastic support.
3. as claimed in claim 1ly it is characterized in that for transvaginal laparoscopically surgical operation highway device,
The sidewall on described chassis along the circumferential direction distributes and is provided with multiple side openings.
4. as claimed in claim 3ly it is characterized in that for transvaginal laparoscopically surgical operation highway device,
The quantity of described side opening is 6.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410247238.4A CN103976780A (en) | 2014-06-05 | 2014-06-05 | Passageway device for transvaginal laparoscope surgical operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410247238.4A CN103976780A (en) | 2014-06-05 | 2014-06-05 | Passageway device for transvaginal laparoscope surgical operation |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN103976780A true CN103976780A (en) | 2014-08-13 |
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ID=51269123
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410247238.4A Pending CN103976780A (en) | 2014-06-05 | 2014-06-05 | Passageway device for transvaginal laparoscope surgical operation |
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| Country | Link |
|---|---|
| CN (1) | CN103976780A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105726070A (en) * | 2014-12-12 | 2016-07-06 | 吴进锋 | Single-site multichannel laparoscopic surgery sheath |
| CN109171839A (en) * | 2018-10-25 | 2019-01-11 | 上海市第妇婴保健院 | A kind of single-port laparoscope instrument system for V-NOTES operation |
Citations (8)
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| US5441540A (en) * | 1993-09-20 | 1995-08-15 | Kim; Paul S. | Method and apparatus for skin tissue expansion |
| CN1133553A (en) * | 1993-10-22 | 1996-10-16 | 安东尼·约翰·麦卡特尼 | Vaginal access tube as an aid to laparoscopic surgery |
| WO2000019914A1 (en) * | 1998-10-06 | 2000-04-13 | Progressive Surgical Products | External tissue expansion device for breast reconstruction, male pattern baldness and removal of nevi and keloids |
| US20080255519A1 (en) * | 2007-03-30 | 2008-10-16 | Pnavel Systems, Inc. | Laparoscopic port assembly |
| CN201524060U (en) * | 2009-09-25 | 2010-07-14 | 常广股份有限公司 | Multi-port type mask device for single-port laparoscope |
| CN101856247A (en) * | 2009-04-08 | 2010-10-13 | 伊西康内外科公司 | Be used to provide the method and apparatus of the path that enters body cavity |
| KR20140002173A (en) * | 2012-06-28 | 2014-01-08 | 고려대학교 산학협력단 | Port unit module for transvaginal single-port natural orifice transluminal endoscopic surgery |
| CN203943696U (en) * | 2014-06-05 | 2014-11-19 | 姜永光 | For transvaginal laparoscopically surgical operation highway device |
-
2014
- 2014-06-05 CN CN201410247238.4A patent/CN103976780A/en active Pending
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5441540A (en) * | 1993-09-20 | 1995-08-15 | Kim; Paul S. | Method and apparatus for skin tissue expansion |
| CN1133553A (en) * | 1993-10-22 | 1996-10-16 | 安东尼·约翰·麦卡特尼 | Vaginal access tube as an aid to laparoscopic surgery |
| WO2000019914A1 (en) * | 1998-10-06 | 2000-04-13 | Progressive Surgical Products | External tissue expansion device for breast reconstruction, male pattern baldness and removal of nevi and keloids |
| US20080255519A1 (en) * | 2007-03-30 | 2008-10-16 | Pnavel Systems, Inc. | Laparoscopic port assembly |
| CN101856247A (en) * | 2009-04-08 | 2010-10-13 | 伊西康内外科公司 | Be used to provide the method and apparatus of the path that enters body cavity |
| CN201524060U (en) * | 2009-09-25 | 2010-07-14 | 常广股份有限公司 | Multi-port type mask device for single-port laparoscope |
| KR20140002173A (en) * | 2012-06-28 | 2014-01-08 | 고려대학교 산학협력단 | Port unit module for transvaginal single-port natural orifice transluminal endoscopic surgery |
| CN203943696U (en) * | 2014-06-05 | 2014-11-19 | 姜永光 | For transvaginal laparoscopically surgical operation highway device |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105726070A (en) * | 2014-12-12 | 2016-07-06 | 吴进锋 | Single-site multichannel laparoscopic surgery sheath |
| CN109171839A (en) * | 2018-10-25 | 2019-01-11 | 上海市第妇婴保健院 | A kind of single-port laparoscope instrument system for V-NOTES operation |
| CN109171839B (en) * | 2018-10-25 | 2024-04-23 | 上海市第一妇婴保健院 | Single-port laparoscope instrument system for V-NOTES operation |
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| Date | Code | Title | Description |
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| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| CB03 | Change of inventor or designer information |
Inventor after: Jiang Yongguang Inventor after: Han Yili Inventor after: Li Mingchuan Inventor after: Lu Qun Inventor before: Jiang Yongguang Inventor before: Han Yili |
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| COR | Change of bibliographic data | ||
| RJ01 | Rejection of invention patent application after publication | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20140813 |